Provider Demographics
NPI:1972039519
Name:LANDMARK REHABILITATION HOSPITAL OF JOPLIN, LLC
Entity Type:Organization
Organization Name:LANDMARK REHABILITATION HOSPITAL OF JOPLIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-320-7154
Mailing Address - Street 1:2040 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3512
Mailing Address - Country:US
Mailing Address - Phone:417-627-1300
Mailing Address - Fax:417-627-1351
Practice Address - Street 1:2040 W 32ND ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3512
Practice Address - Country:US
Practice Address - Phone:417-627-1300
Practice Address - Fax:417-627-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital